Quality statement 7: Moderate depression and a chronic physical health problem

Quality statement 7: Moderate depression and a chronic physical health problem

Quality statement

People with moderate depression and a chronic physical health problem receive an appropriate high-intensity psychological intervention.

Quality measure

Structure: Evidence of local arrangements to provide appropriate high-intensity psychological interventions for people with moderate depression and a chronic physical health problem.

Process: Proportion of people with moderate depression and a chronic physical health problem who receive an appropriate high-intensity psychological intervention.

Numerator – the number of people in the denominator receiving an appropriate high-intensity psychological intervention.

Denominator – the number of people with moderate depression and a chronic physical health problem.

What the quality statement means for each audience

Service providers ensure systems are in place for the delivery of appropriate high-intensity psychological interventions for people with moderate depression and a chronic physical health problem.

Healthcare professionals ensure people with moderate depression and a chronic physical health problem receive appropriate high-intensity psychological interventions.

Commissioners ensure they commission services to provide appropriate high-intensity psychological interventions to people with moderate depression and a chronic physical health problem.

People with moderate depression and a long-term physical health problem receive appropriate psychological treatment (for example, group or one-to-one CBT, or a treatment for people with a regular partner called behavioural couples therapy, if appropriate).

Definitions

NICE clinical guideline 91 defines appropriate high-intensity interventions for people with moderate depression and a chronic physical health problem as:

  • group-based cognitive behavioural therapy (CBT) or

  • individual CBT for people who decline group-based CBT or for whom it is not appropriate, or where a group is not available or

  • behavioural couples therapy for people who have a regular partner and where the relationship may contribute to the development or maintenance of depression, or where involving the partner is considered to be of potential therapeutic benefit.

Source guidance

NICE clinical guideline 91 recommendation 1.5.1.2 (key priority for implementation).

Data source

Structure: Local data collection.

Process: Local data collection.